Provider Demographics
NPI:1851405898
Name:RIZVI, HIL X (MD MS)
Entity Type:Individual
Prefix:DR
First Name:HIL
Middle Name:X
Last Name:RIZVI
Suffix:
Gender:M
Credentials:MD MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-1512
Mailing Address - Country:US
Mailing Address - Phone:814-684-2871
Mailing Address - Fax:814-684-2049
Practice Address - Street 1:910 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:TYRONE
Practice Address - State:PA
Practice Address - Zip Code:16686-1512
Practice Address - Country:US
Practice Address - Phone:814-684-2871
Practice Address - Fax:814-684-2049
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV18943207PE0004X
OH35079117R207PE0004X
PAMD059675L207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019161940006Medicaid
7311011Medicare ID - Type Unspecified
WV0080300000Medicaid